Welcome to episode 543 of the Divine Intervention Podcast.

In this podcast, I'm going to call this the facial muscle weakness podcast.

Fiscal muscle weakness podcast.

This is going to be a pretty short podcast, but it's actually pretty high yield for step one,

step two, and step three, and obviously complex level one, two, and three.

So what if they give you a question about the 35-year-old male?

And he tells you that, man, since he woke up this morning, he has been having trouble

closing his right eye, and whenever he tries to see, notice that when he smiles, he

feels looks weird, that he has never had his face look like that before. What should you

be thinking about? I'd really hope you're seeing this guy probably has bells palsy. The guy probably has bells palsy. But I thought I've kind of given you the vignette, let's go into some little things here and there that are very important for the exams. This should be one of my shorter podcasts. But the thing is on your exams when you see facial muscle

weakness. You should think of two things. You should think of either Bell's palsy or should think

of some kind of stroke, Bell's palsy or some kind of stroke. And the stroke that will usually cause

it is, it depends. In fact, let me maybe give a more refined cause of facial muscle weakness.

You can get facial muscle weakness because you have upper motor neuron problems,

or you can get facial muscle weakness because you have lower motor neuron problems.

And the classic thing many people learn as they study for their exams is that,

if you have an upper

model neuron cause of facial muscle weakness it's going to be the contralateral lower face

that is weak and that's it and that's accurate but if you have a low motor neuron facial muscle

weakness you're going to get that from, you're going to get a

epilateral upper and lower facial weakness. You can get it's a lateral, upper, and lower

facial weakness. So, let's kind of tease, and that's right as well, let's kind of tease

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